HomeMy WebLinkAbout172711 05/27/2009 a G9 r CITY OF CARMEL, INDIANA VENDOR: 358688 Page 1 of 1
ONE CIVIC SQUARE AGRO CHEM CHECK AMOUNT: $410.00
i, CARMEL, INDIANA 46032 2045 S WABASH STREET
WABASH IN 46992
CHECK NUMBER: 172711
CHECK DATE: 5/27/2009
DEPARTMEN ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 IN00432896 410.00 REPAIR PARTS
AGRO CHEM, INC. Invoice Date Invoice
AGRO CHEM 2045 S WABASH STREET 5/19/2009 IN00432896
WABASH, IN 46992
Phone: 800- 686 -5680
Fax: 888 281 -4321
www.agrochem.com
Bill To Ship To
CITY OF WESTFIELD INDIANA CITY OF WESTFIELD INDIANA
3400 WEST 131 ST STREET 3400 WEST 131 ST STREET
WESTFIELD,IN 46074 WESTFIELD,IN 46074
STATEMENTS SENT BI- MONTHLY PLEASE PAY FRONT 1N VOICE
P.O. Number Rep Ship Via Terms
4272 2 5/19/2009 NET30
Ordered Shipped BIO Item Code Description Price Each Amount
I 1 0 20OP16PRO 2 X 2 PUMP W/ BRIGGS 410.00 410.00
Total $410.00
Prescribed by State Board of Accounts City Form C;o. 201 (Rev, 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/19/09 I N 00432896 $410.00
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
VOUCHER N WA RRANT N
ALLOWED 20
Agro Chem Inc
IN SUM OF
f
2045 S. Wabash Street
Wabash, IN 46992
$410.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 IN00432896 42- 370.00 $410.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
h6rsd�,1;, lay 21, 2009
r.
41
Street Commissicg er
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund